NPI | 1255767919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 005493) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005493) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005493) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: CT 005493) | |
Enumeration Date | 2013-09-25 |
Last Update Date | 2014-02-02 |